Evidence map›Paper›PMID 32654238›Full record

ArticleClinical transplantation2020

Incorporating patient and caregiver feedback into lung transplant referral guidelines for individuals with cystic fibrosis-Preliminary findings from a novel paradigm.

Patrick J Smith, Jordan M Dunitz, Amy Lucy, Sarah E Hempstead, Erin Tallarico, Albert Faro, Joseph M Pilewski, Kathleen J Ramos

Open access · greenAbstract read
In one paragraph

Article in Clinical transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
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  3. A Qualitative Study to Improve How We Partner With Patients and Families in Healthcare Improvement Collaboratives.Health expectations : an international journal of public participation in health care and health policy · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Patrick J SmithDepartments of Psychiatry, Medicine, and Population Health Sciences, Duke University Medical Center, Durham, NC, USA.ORCID 0000-0002-6374-0298
Jordan M DunitzDivision of Pulmonary, Allergy, Critical Care Medicine and Sleep, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
Amy LucyCystic Fibrosis Foundation, Bethesda, MD, USA.
Sarah E HempsteadCystic Fibrosis Foundation, Bethesda, MD, USA.
Erin TallaricoCystic Fibrosis Foundation, Bethesda, MD, USA.
Albert FaroCystic Fibrosis Foundation, Bethesda, MD, USA.
Joseph M PilewskiDivision of Pulmonary, Allergy & Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Kathleen J RamosDivision of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, University of Washington, Seattle, WA, USA.
Cystic Fibrosis Foundation · USDuke University · USUniversity of Minnesota · USUniversity of Pittsburgh Medical Center · USUniversity of Washington · US

Funding

Predicting survival and planning for lung transplantation in severe cystic fibrosisK23HL138154 · NHLBI · UNIVERSITY OF WASHINGTON · PI RAMOS, KATHLEEN JESSICA · 2017 to 2021
$947k
NHLBI NIH HHS K23 HL138154
6 · The paper itself

Abstract

backgroundLung transplantation is a common therapeutic option for individuals with cystic fibrosis (CF) and advanced lung disease, yet many individuals with CF are not appropriately referred for evaluation. The present study sought to enhance CF transplant referral guidelines by integrating patient-centered input to identify possible psychosocial barriers contributing to suboptimal referral for appropriate CF transplant candidates.

methodsAs a component of developing the Cystic Fibrosis Foundation (CFF) Lung Transplant Referral Consensus Guidelines, we convened a focus group of lung transplant recipients with CF and two spouses of CF recipients. Each session involved standardized approaches to elicit qualitative, thematic content.

resultsCF patients and caregivers characterized five areas for improvement, which were integrated into formal CFF referral guidelines. These included (a) timing of transplant discussion with CF providers, (b) accuracy of transplant-related knowledge and expectations, (c) stigma associated with the need for transplantation, (d) treatment team transition issues, and (e) social support and mental health concerns. Earlier introduction of transplant, greater details regarding manageable aspects of treatment, and greater provision of social support were all associated with better psychosocial experiences.

conclusionsIntegrating patient-centered input into guideline development yielded important and previously unknown psychosocial barriers contributing to suboptimal transplant referral.

Indexed as

Cystic FibrosisLung TransplantationCaregiversFeedbackHumansLungReferral and Consultationcystic fibrosisguideline developmentlocus of controllung transplantation referralpsychosocialself-efficacysocial supportstigmatransplant

Identifiers

PMID32654238
PMCPMC7868110
OpenAlexW3042186627

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.